WELCOME TO THE INSTITUTIONS OF HIGHER EDUCATION TELEBRIEFING 10/27/2020
MEDICAL & DATA UPDATES
TIER STATUS RED (SUBSTANTIAL) TIER- EIGHT WEEK Unadjusted case rate of 7.4 (7.8 last week) per 100,000 residents and an adjusted rate of 6.5 (7.0 last week) Adjusted down due to high testing rate (309 vs 239 state median) Testing positivity percentage increased to 3.5% (3.3% last week).
LOCAL HIGHLIGHTS- DAILY CASES
NEW HEALTH EQUITY METRIC The Health Equity Testing Percentage will place Counties in one of the Tiers: This metric will NOT move counties back a tier, only up a tier! Health equity testing positivity percentage dropped from 5.5% to 5.1%. County has submitted required plans to state.
IHE STATUS As of today, 6 active cases, 3 of which were on campus with total of 44 student cases and 2 in employees 4211 tests with positivity rate of 1.09%, 0.38% in on-campus students CSUSM, 18 cases in students (15 of whom lived on campus) and 7 in employees SDSU Students are encouraged to stay-at-home through 6 am 11/2
OTHER LOCAL INFO COVID Watch updates Added antigen / probable results, 14-day case rate by zip codes, deaths by age group per week, potential exposure settings Influenza Watch weekly publications began (20 th year!) County testing sites now testing children as young as 6 months Dr. Hood and Dr. Saywer appointed to CA COVID-19 Scientific Safety Review Workgroup 7
CDC UPDATES COVID-19 Hospitalization and Death by Race/Ethnicity https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html 8 https://www.cdc.gov/coronavirus/2019-ncov/downloads/covid-data/hospitalization-death-by-race-ethnicity.pdf
CDC CLOSE CONTACT UPDATE NEW INFORMATION ON DEFINING A CLOSE CONTACT Someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period * starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to test specimen collection) until the time the patient is isolated. Individual exposures added together over a 24-hour period (e.g., three 5- minute exposures for a total of 15 minutes). Example: It’s no longer defined as “I spent 15 mins in a small room with person X on Tuesday.” It could also be “I made 5 quick trips to speak to X for 3 mins each between Tuesday afternoon and Wednesday morning.” https://www.cdc.gov/coronavirus/2019-ncov/php/contact-tracing/contact-tracing- plan/appendix.html#contact
OTHER UPDATES CDPH Theme Parks Guidance Smaller facilities may resume outdoor operations and limited capacity in Tier 3 (moderate/orange), while larger parks may do so in Tier 4 (minimal/yellow) CDPH Sporting Events at Outdoor Stadiums Guidance Live professional sporting events may operate with limited capacity in Tiers 3 and 4 only with pre-assigned tickets to ensure physical distancing of patrons and other modifications CDPH Industry guidance: Expanded personal care services Hair salons, barbershops, nail salons, tattoo places now all allowed in Purple tier w/modifications CDPH COVID-19 Vaccination Plan CDC has developed a Toolkit for People 15-21 10
HALLOWEEN & GATHERING GUIDANCE
CDPH – NEW GATHERING GUIDANCE GUIDANCE FOR PRIVATE GATHERINGS (10/9/2020) 1. Attendance 3 Households Maximum & keep Households Stable Over Time 2. Gather Outdoors & Keep it Short-Two hours or less 3. Don't Attend Gatherings If You Feel Sick or You Are in a High-Risk Group 4. Practice Physical Distancing and Hand Hygiene at Gatherings 5. Wear a Face Covering to Keep COVID-19 from Spreading Health Officer Order 6. Avoid Singing, Chanting, and Shouting Updated October 9, 2020 12
PRACTICE THE BIG FOUR 13
HALLOWEEN GUIDANCE Halloween Guidance* during the COVID-19 pandemic! To minimize the spread of COVID-19 and ensure children have a fun, safe Halloween, the County of San Diego offers guidance for the most common activities to protect you and your loved ones Available in multiple languages.
HALLOWEEN GUIDANCE UPDATE NOT ALLOWED: • In-person gatherings, events, or parties with more than 3 households are not permitted , even if they are conducted outdoors, since maintaining 6-feet of distance between participants cannot be easily maintained. 15
NOTIFICATION OF A POSITIVE CASE
SCHOOL IS NOTIFIED OF POSITIVE COVID-19 CASE IN STUDENT OR STAFF SCHOOL SHOULD BE NOTIFIED BY STAFF/STUDENT/FAMILY OF STUDENT OR THE COUNTY OF SAN DIEGO Student or Staff has + COVID-19 test School’s COVID-19 Staff notifies school Parent/student Liaison is contacted COVID-19 Liaison notifies school by County of San Diego
COVID-19 LIAISON NOTIFIES COUNTY OF SAN DIEGO DEPARTMENT OF PUBLIC HEALTH SERVICES (A & B) OR Call: 888-950-9905 Fill out online Notification Form at on the Coronavirus-sd.com/K12Schools website. Can be utilized for all education sector(s). SCHOOL’S COVID LIAISON MUST CONTACT THE DEPARTMENT OF PUBLIC HEALTH SERVICES
ISOLATE AND EXCLUDE ISOLATE CASE AND EXCLUDE FROM SCHOOL FOR 10 AT LEAST DAYS FROM SYMPTOM ONSET OR TEST DATE Home Isolation Support • Home Isolation Guidelines • Temporary Lodging Program (For family that needs support to Isolate or Quarantine)
ID CONTACTS (†) IDENTIFY CONTACTS (†): QUARANTINE & EXCLUDE EXPOSED CONTACTS (LIKELY ENTIRE COHORT (††)) FOR 14 DAYS AFTER THE LAST DATE THE CASE WAS PRESENT AT SCHOOL WHILE INFECTIOUS Recommend testing of close contacts, prioritize symptomatic contacts (testing will NOT shorten 14-day quarantine) See Quarantine Guidance for Coronavirus Disease 2019 (COVID-19) o (†) A close contact is defined as someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period. In some school situations, it may be difficult to determine whether individuals have met this criterion and an entire cohort, classroom, or other group may need to be considered exposed, particularly if people have spent time together indoors o (††) A cohort is a stable group with fixed membership that stays together for courses and avoids contact with other persons or cohorts
RECOMMEND TESTING OF CONTACTS, PRIORITIZE SYMPTOMATIC CONTACTS ENCOURAGE AND RECOMMEND TESTING School Staff Students • For students, contact student health services or primary care provider for • Anyone (3 months and up) may be testing. If unable to get tested thru PCP, tested at any of the county’s public then State & County sites are available testing sites for free testing. To find a location or day a testing site is occurring, call 2-1-1 or go • School personnel should contact their to the county’s public testing sites school or school district for information on receiving a test
DISINFECT AND CLEAN DISINFECTION AND CLEANING OF CLASSROOM AND PRIMARY SPACES WHERE CASE SPENT SIGNIFICANT TIME o COVID-19 Guidance for Cleaning and Disinfection o Cleaning & Disinfecting Your Facility
NOTIFY CONSIDER NOTIFICATION TO THE SCHOOL COMMUNITY THAT THERE IS A POSITIVE CASE ON CAMPUS
IHE CONSIDERATIONS IHE settings contain a mixed population of students and staff ranging from young to older adults who are highly interconnected in multiple, close-contact networks, such as dormitories, classrooms, lecture halls, sports teams, clubs and fraternities/sororities. As a result, these close settings may cause the IHE population to be more susceptible to increased transmission of SARS-CoV-2. IHEs might need to implement short-term closure procedures . If this happens, IHEs should work with local public health officials to determine whether in- person classes need to be cancelled or moved to virtual delivery and/or buildings and facilities need to close.
IHE-WHEN TO TEST? IHEs might test students, faculty, or staff for purposes of surveillance, diagnosis, screening, or in the context of an outbreak. Individuals should be considered for and offered testing if they: Show signs or symptom s consistent with COVID-19 (diagnostic) or have a recent known or suspected exposure to a person with laboratory-confirmed COVID-19 (diagnostic) Have been asked or referred to get testing by their healthcare provider or health department (diagnostic) or are part of a cohort for whom testing is recommended (in the context of an outbreak) Are attending an IHE that requires entry screening (entry testing as part of screening) Volunteer to be tested in order to monitor occurrence of cases and positivity rate (surveillance) It is not recommended to retest previously positive asymptomatic individuals within 3 months of a positive test . Data currently suggest that some individuals test persistently positive due to residual virus material but are unlikely to be infectious. https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/ihe-testing.html
ALISON CASCIANO , PUBLIC HEALTH NURSE EPIDEMIOLOGY AND IMMUNIZATION SERVICES BRANCH COUNTY OF SAN DIEGO HEALTH & HUMAN SERVICES AGENCY INSTITUTIONS OF HIGHER EDUCATION EPI CONTACT KAREE HOPKINS , PUBLIC HEALTH NURSE SUPERVISOR PUBLIC HEALTH SERVICES COUNTY OF SAN DIEGO HEALTH & HUMAN SERVICES AGENCY SCHOOLS GROUP CONTACT Decision Tree, Communication with Epidemiology Flowchart, and Reporting a Positive Case
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